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About Me

I am a below knee amputee. More importantly, I am also Mommy to two boys, a very active 10 year old (Robby) and an mischievous toddler (Timmy). I have learned that being a parent with a disability can create some unusual and sometimes humorous situations.
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Monday, December 12, 2016

NY One Limb Per Life Update

One of the battles the limb loss community fought in the past few
years was centered in New York state. With the passing and
implementation of the Affordable Care Act, amputees in New York who were
reliant upon the exchange for medical insurance were dumbfounded to
discover that policies were limited to one prosthetic device per limb
per lifetime. As archaic as it appears, amputees were being
systematically denied replacement prosthetic devices because of this
unrealistic lifetime cap. ;

Using the momentum from
the successful LCD repeal, the community set its sights on the state of
New York. Petitions were started and heavy lobbying began in DC and in
Albany. After the dedicated efforts of a handful of individuals, the
insurance commission announced that all policies going forward would
include provisions for repair and replacement of prosthetic devices.
While it wasn't a complete victory, this band-aid compromise provided a
satisfactory compromise for the limb loss community. ;

It
has been nearly a year since the "repair and replacement" provision was
set to be enacted. Where does the One Limb Per Lifetime movement stand
now? In this episode of Amp'd, Dave and I reviewed the history of the
New York insurance exchange and examined the state of prosthetic care
for residents in New York.